Legal Medicine Department, Faculty of Medicine, Grigore T. Popa University of Medicine and Pharmacy of Iasi, 700115 Iasi, Romania.
Int J Environ Res Public Health. 2022 Jan 5;19(1):562. doi: 10.3390/ijerph19010562.
: Complaints regarding medical practice represent a harsh reality of the current world. Patients have the right to receive explanations and compensation when they are injured during the medical act, but the increased potential for exposure to complaints determines personal and professional consequences for the doctors, with significant impact on their health and practice. Thus, the aim of our research was to analyze in depth the impact of complaints on the doctors involved. : The authors conducted a qualitative study, using a semi-structured interview, addressed to doctors who had complaints from patients. The participants in our research were identified using an adapted version of the snowball method. : After the analysis of the interviews using the inductive method, nine themes resulted, seven of which are addressed in this paper: injustice, personal impact, professional impact, difficulties, supportive factors, the attitude of the hospital management and the attitude of colleagues. At the personal level, the doctors were overwhelmed by insomnia, nightmares, stress and anxiety, and at the professional level by doubts about medical decisions, fear, anxiety and the tendency to avoid patients with severe diseases. : The study revealed that physicians who had complaints from patients are deeply affected by the complaint itself and the associated investigation procedure, even if, to a lesser extent, some of the participants found motivation for a better management of the situation. The study also showed the need for changes in the legal and medical systems in order to create mechanisms to support the doctors during the investigation process.
患者在医疗行为中受到伤害时有权获得解释和赔偿,但投诉可能带来的风险增加,决定了医生个人和职业的后果,对他们的健康和行医产生重大影响。因此,我们的研究旨在深入分析投诉对涉事医生的影响。
研究人员采用半结构化访谈,对曾收到患者投诉的医生进行了定性研究。我们的研究对象是通过改进的滚雪球法确定的。
采用归纳法对访谈进行分析后,得出了 9 个主题,其中 7 个在本文中讨论:不公正、个人影响、职业影响、困难、支持因素、医院管理层的态度和同事的态度。在个人层面,医生们深受失眠、噩梦、压力和焦虑的困扰,在职业层面则深受对医疗决策的质疑、恐惧、焦虑和回避重病患者的影响。
研究表明,收到患者投诉的医生会受到投诉本身及相关调查程序的严重影响,尽管在较小程度上,一些参与者在处理投诉方面找到了更好的动力。研究还表明,需要对法律和医疗体系进行改革,以便在调查过程中为医生提供支持机制。